| Tamara Gorfine-petrelli, Llc | |
|
1645 Palm Beach Lakes Blvd 1200 West Palm Beach FL 33401-2204 | |
| (561) 662-6900 | |
| Not Available |
| Full Name | Tamara Gorfine-petrelli, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 1645 Palm Beach Lakes Blvd, West Palm Beach, Florida |
| Authorized Official Name and Position | Tamara Petrelli (OWNER) |
| Authorized Official Contact | 5616626900 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tamara Gorfine-petrelli, Llc 1645 Palm Beach Lakes Blvd 1200 West Palm Beach FL 33401-2204 Ph: (561) 662-6900 | Tamara Gorfine-petrelli, Llc 1645 Palm Beach Lakes Blvd 1200 West Palm Beach FL 33401-2204 Ph: (561) 662-6900 |
| NPI Number | 1851843056 |
|---|---|
| Provider Enumeration Date | 11/04/2016 |
| Last Update Date | 11/04/2016 |
| Medicare PECOS PAC ID | 9537400288 |
|---|---|
| Medicare Enrollment ID | O20190408001714 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851843056 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | SW11884 (Florida) | Primary |
| Provider Name | Tamara S Petrelli |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629290234 PECOS PAC ID: 0547550576 Enrollment ID: I20160603001348 |
| Provider Name | Robin Lorraine Demasi |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851488738 PECOS PAC ID: 9931577681 Enrollment ID: I20221130001287 |
| Provider Name | Nicole Morales |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023888047 PECOS PAC ID: 1052758018 Enrollment ID: I20240326002441 |
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